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Organization
LAX COTSWOLD LLC
Active
Organization
LAX COTSWOLD LLC
Active
Other names
Walker's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (OWNER)
(704) 364-3444
Entity
Organization
Contact information
Practice address
4390 COLWICK RD, CHARLOTTE, NC 28211-2310
(704) 364-3444
(704) 364-1320
Mailing address
4390 COLWICK RD, CHARLOTTE, NC 28211-2310
(704) 364-3444
(704) 364-1320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12986
NC
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159592
PK
—
Enumeration date
12/26/2006
Last updated
04/30/2019
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